02/10/2026
Have you ever wondered what the difference is between Massage Therapy and Somatic Therapy? One simple distinction is massage is largely passive for the client, where somatic therapy engages the client to be actively involved in their growth, healing and overall well-being. In somatic therapy the therapist is a guide and sounding board to help the client progress toward an improved level of health, based on their goals. In a way it is like being a coach. Touch is still a primary method of informing the client, however, it is coupled with other techniques such as guided and awareness-based movement.
What does Somatic Therapy mean? Let’s start with a definition. The term “Somatic” was coined by Thomas Hanna to mean, “the body, as perceived from within.” In other words, we individually are the only ones who can truly know ourselves from the inside. So, with this understanding, Somatic Therapy is an approach to help the client improve their sense of self, how they’re organized, and an awareness of how to let go of unwanted habits of tension and stress.
What does Somatic Therapy look like? Unlike massage it is usually done with the client fully clothed. Like massage it begins with an interview, which in this case is quite in-depth, primarily exploring the client’s goals. This includes considering what’s preventing them from achieving their goals, either in the moment or from past traumas, injuries, and toxic patterns of habituation. Assessment skills are another major part of the session. It’s not enough to assume that what’s been reported (even medical reports) is accurate. Feeling the quality of their soma (body), tissue and mobility informs us how to proceed. The transition between “assessment” and “therapy” is subtle. The client may not even notice because the quality of touch is always asking open ended questions such as: “are you assisting or resisting, can you soften your chest or neck, how is your breath involved in how you hold yourself?” The approach is gentle, always creating a sense of safety, which is essential for letting go of old familiar patterns and opening to the changes necessary for transformation.
Somatic Therapy is generally easy on the therapist physically. It is expansive mentally and creatively stimulating. It is embodied, meaning the therapist improves their own sense of self by engaging in the process. And it is rewarding. In my mind there is nothing more rewarding than watching a client improve to the point where they don’t need my services to continue in a comfortable and functional life. Though not to worry, these clients become the best form of advertising you can have. So, by losing one client you often gain many others.
I have created an NCBTMB Approved introduction to Somatic Therapy through a practical class called “Understanding & Transforming Chronic Pain.” It covers how to discern between neuroplastic and structural symptoms, and which therapies work best for each. It also explores some core developmental movements and how to incorporate them into the techniques of somatic education. It will give you a working foundation to broaden your skills to include Somatic Therapy. I hope you’ll join us in this exciting journey of personal and professional expansion. If you have questions feel free to reach out to me.
Arnold Askew, LMT, GCFP teaches continuing education courses to help massage therapists and bodywork practitioners.